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Healthcare

The agentic AI foundation for a Fortune 25 enterprise.

Designed and stood up the enterprise agentic-AI architecture — a central LLM gateway, MCP runtime, skill and agent registry, AI FinOps, an agent-building factory — and an enterprise-ready agentic SDLC running software delivery end to end.

11
Specialized SDLC agents
5 phases
Capture → design → build → verify → operate
Cross-model
Independent judge on every output

The situation

AI agents were arriving faster than the enterprise could govern them. Without shared architecture, every business unit would build its own stack — duplicating spend, fragmenting security, and making agent quality impossible to manage at Fortune 25 scale.

The company needed the foundation before the sprawl: one way to access models, one way to connect tools and context, and one way to know what agents exist and what they cost.

What we did

  • 01Designed the enterprise agentic-AI architecture and operating framework end to end.
  • 02Stood up a central LLM gateway governing model access, routing, and policy across providers.
  • 03Established an MCP runtime as the standard for connecting agents to tools, data, and context.
  • 04Built a skill and agent registry so agents are discoverable, reusable, and governed rather than duplicated.
  • 05Implemented AI FinOps — cost visibility and controls across every model call and agent.
  • 06Launched an AI agent-building factory with best-practice sharing, so business units ship agents on shared rails instead of reinventing the stack.
  • 07Developed an enterprise-ready agentic SDLC: eleven specialized AI agents running the software lifecycle end to end — capture, design, build, verify, operate — with test-first discipline built in.
  • 08Put a cross-model independent judge on every agent output — a different frontier model grades the work, avoiding shared blind spots.
  • 09Backed the SDLC agents with a shared context-graph memory linking the repo, meeting records, PRDs, and tickets — and wired production bugs back in as new requirements.

The outcome

  • A production agentic-AI platform the whole enterprise builds on — gateway, runtime, registry, and FinOps in place.
  • A repeatable factory model: new agents ship on shared rails with governance and cost discipline from day one.
  • Software delivery running through the agentic SDLC — faster, cheaper, and higher quality, with an independent judge on every output.
  • Best practices flow across business units instead of being relearned in each one.

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